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Q. My daughter did not get her vaccination after 7 months due to coarctation surgery. How to manage this delay?

Answered by
Dr. Faisal Abdul Karim Malim
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Sep 22, 2020

Hello doctor,

My 15-month-old daughter underwent coarctation surgery at nine months. Her vaccines since then are pending, which include MMR, OPV, hepatitis, etc. As per the vaccination schedule, she last received a vaccine at seven months. As a post-surgical procedure, she is put on hypertension control medicines and is currently given daily doses of Amlodipine and Aldactone. To prevent her from catching other infections, she was advised total isolation and care. I seek medical consultation on the following:

How should we go about scheduling her pending vaccination and bring the schedule back on track? Is there any special care we need to consider for future vaccinations because of this delay? Due to COVID-19, she is totally isolated and is staying only with her parents, are there any immediate risk factors that we should be concerned about because of the delay?

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Hello,

Welcome to icliniq.com.

The answers to your queries are as follows:

You can give one dose of MMR (measles, mumps, and rubella) and hepatitis right now, followed by OPV (oral polio vaccine) one month later. If taking IPV, it can be given right away. A month after OPV, the rest of the vaccines as per the age chart can be planned.

The major vaccines have been taken before seven months. So you need not worry about future vaccines. Be sure to take PCV (pneumococcal vaccine) if not taken. Rest, you can follow the vaccine schedule prescribed to you by your doctor.

Considering the given history, there would be not much risk involved in delaying the vaccination. However, now since the child is fine, you can give the vaccines.


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